【全非资讯·加纳】 非洲：阿克拉之后，非洲

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ONE Campaign非洲卫生筹资主任Dr William Nii Ayitey Menson撰文指出，非洲的卫生自主权只有在峰会承诺转化为预算拨款、正常运转的服务和公众问责时，才能真正实现。\n\n在阿克拉举行的非洲联盟卫生问题特别峰会上，我脑海中一直盘旋着一个令人不安的想法：这些话我以前听过。\n\n这些话句句属实。非洲必须为自身的卫生系统筹集更多资金。初级卫生保健必须得到加强。药品和疫苗必须实现在本土附近制造。外部筹资正变得越来越不可预测。家庭不应被医院账单压垮。集中采购、更好的监管和更强的问责都已迟来太久。\n\n这些都没有错。这就是问题所在。我们已经变得非常擅长说正确的话。\n\n关注我们的WhatsApp和LinkedIn获取最新头条新闻\n\n随后，前总统John Mahama的一番话打破了仪式的客套。他认为，非洲的卫生承诺必须变得切实可行，而不是流于空谈。他提醒领导人们，关于将国家预算的15%用于卫生领域的阿布贾承诺，现在已经老到可以生孩子了。\n\n这句话之所以引人深思，是因为它听起来像是一个挑战，而不是又一个口号。\n\n非洲疾控中心主任Dr Jean Kaseya也把峰会的讨论拉回了现实。面对不断蔓延的埃博拉威胁，他警告称，如果非洲无法控制此次疫情，我们今天所做的一切都将失去意义。他还指出，非洲国家为应对疫情所调动的资金已经超过了最初设定的全洲目标。

中文导读

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原文原文 / Original Text

Dr William Nii Ayitey Menson, Director of Health Financing for Africa at the ONE Campaign, argues that Africa's health sovereignty will only become real when summit pledges translate into budget releases, functioning services and public accountability.

At the African Union's Extraordinary Summit on Health in Accra, I kept having one uncomfortable thought: I have heard this before.

The words were true. Africa must finance more of its own health systems. Primary health care must be stronger. Medicines and vaccines must be manufactured closer to home. External financing is becoming less predictable. Families should not be ruined by hospital bills. Pooled procurement, better regulation and stronger accountability are overdue.

None of this is wrong. That is the problem. We have become very good at saying the right things.

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Then President John Mahama said something that cut through the ceremony. Africa's health pledges, he argued, must become 'physical, not lyrical.' He reminded leaders that the Abuja promise to allocate 15% of national budgets to health is now 'old enough to have children of its own.'

That line landed because it sounded like a challenge, not another slogan.

Dr Jean Kaseya, Director-General of Africa CDC, also brought the summit back to earth. With the continent facing an expanding Ebola threat, he warned that if Africa did not control the outbreak, 'everything we are doing today won't make sense.' He also noted that African countries had already mobilised more than the initial continental target for the response.

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来源：AllAfrica (https://allafrica.com/)
原文链接：https://allafrica.com/stories/202608030665.html
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